Supervisor, Payment Posting

nimble solutions; Chesterfield (MO); On-site; USD 65,000 - 90,000; Full time

Job summary

nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers, surgical clinics, and anesthesia groups. We are seeking a results-driven Payment Posting Lead to support multiple client accounts and collaborate with executives to optimize billing processes.

You will train teams, analyze reports, identify denial trends, and drive improvements in the revenue cycle. The role requires 3+ years in healthcare posting and client management, with strong Excel

Qualifications

• At least 3 years of experience in Payment Posting.
• At least 3 years of direct client contact/management.
• 3+ years Payment Posting and claims experience in the healthcare industry.
• Strong analytical skills with a track record of meeting productivity KPIs.
• Knowledge of Medicare, Medicaid, Private Insurance, Private Pay, Liability, and Worker's Compensation.
• Proficiency with Microsoft Office Suite.
• Knowledge of HIPAA/HITECH and patient confidentiality policies.
• Intermediate knowledge of the revenue cycle; ASC billing preferred.
• 3+ years in a variety of RCM practice management systems.

Responsibilities

• Subject matter expert for the client account and provide high level training.
• Partner with learning and development to create client-specific training curriculum.
• Reviews and analyzes reports and data to maximize efficiency and focus areas of concern.
• Identify denial trends, report payer issues, and recommend recovery plans.
• Manages, drives, and produces for assigned accounts; target 50+ PRO/day or 65+ for others.
• Acts as a resource for Payment Posting team on billing policies and guidelines.
• Maintains knowledge of client-specific SOVs and drives policy updates.

Skills

Payment posting

Client contact/management

Healthcare knowledge

Medicare/Medicaid knowledge

HIPAA/HITECH compliance

Microsoft Office

Revenue cycle knowledge

RCM systems experience

Job description

Why work at nimble?

This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building!

Job Type

Full-time

Description

Why work at nimble?

This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building!

Who we are!

nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join over 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.

Responsibilities:

People Leadership

• Is the subject matter expert for the client account, client system and provides high level training on the assigned client account as necessary
• Partners with learning and development to create training curriculum specific to client processes and systems

Reporting and Analytics

• Reviews and analyzes reports and data to maximize efficiency and direct focus to appropriate areas of concern
• Identify denial trends, report on global payer issues, and recommend recovery plans to Assistant Director

RCM Process and Expertise

• 80% working accounts, 20% managing account performance
• Manages, drives, and produces for assigned account. For RCM clients, target is 50 accounts or greater per day; for PRO clients, target is 65 or greater accounts per day
• Acts as a resource for all Payment Posting team members for questions regarding billing policies, state guidelines, reimbursement analysis and assists with resolution of challenging accounts and claims
• Maintains a detailed knowledge of client specific SOVs
• Helps to drive Payment Posting policies, procedures and best practices and make suggestions for revisions and updating information

Client and Account Performance

• Experts on specific client accounts
• Monitors, reports, identifies trends for all account activity

Requirements

• At least 3 years of experience in Payment Posting
• At least 3 years of experience in direct client contact/management
• 3+ years Payment Posting and claims experience in the healthcare industry
• Expertise analytic skills and proven success and track record of driving results and exceeding productivity targets and KPIs for clients supported
• Expertise knowledge of Medicare, Medicaid, Private Insurance, Private Pay, Liability, and Worker's Compensation requirements and procedures and diagnosis and medical terminology
• Expertise level of expertise with Microsoft Office Suite
• Knowledge of and ability to comply with HIPAA, HITECH, and patient confidentiality policies
• Intermediate knowledge of the revenue cycle is required, experience with ASC billing preferred
• 3+ years’ experience in a variety of RCM practice management systems

Key Competencies

• Drives Results. Consistently achieves results, even under difficult circumstances. Fosters a sense of urgency in the team for reaching goals and meeting deadlines. Readily takes action on challenges, Identifies and seizes new opportunities; Leads others to persist despite setbacks or obstacles; Establishes clear responsibilities and processes for monitoring work and measuring results.
• Communicates Effectively. Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences. Provides timely and helpful information to others across the organization; Encourages the open expression of diverse ideas and opinions; Picks up on situational cues and adapts personal, interpersonal and leadership behavior to fit.
• Quality Decision-making. Makes sound decisions, even in the absence of complete information; Considers all relevant factors and uses appropriate decision-making criteria and principles; shows courage in speaking up in driving appropriate decisions for the organization based on sound risk/reward analysis
• Customer Focus. Gains insight into customer needs; Identifies opportunities that benefit the customer; Builds and delivers marketing messaging and solutions that meet customer expectations.